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OSCE by Mind Map: OSCE
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OSCE

History

Taking a drug and alcohol history

AimTo develop skills in taking an empathic and accurate alcohol history. Objectives Demonstrate empathic and non-judgmental questioning in relation to an alcohol history. Demonstrate techniques for quantifying alcohol consumption. Relate reported alcohol consumption to other clinical information and to relevant NHMRC guidelines. Demonstrate the ability to assess the presence of current or past alcohol use disorders (harmful alcohol consumption and alcohol dependence). Demonstrate the ability to assess evidence of physical, psychological, or social complications of drinking Demonstrate the ability to assess motivation to change drinking patterns, and the success of past efforts to change.

History of musculoskeletal disorder

Physical examination

GALS screen

Drug and/or alcohol examination

Aim: To introduce students to the elements of the examination of a patient with drug and/or alcohol related problems.Objectives: Demonstrate the ability to perform a basic examination of a patient with drug and alcohol related problems.

Examination of the lower back and hips

Aim: To introduce students to the examination of the lower back and hips.Objectives: Demonstrate the ability to examine the normal low back and hip (ie. look, feel, move and measure). Describe the surface anatomy of the hip. Discuss gait as it relates to the hip. Demonstrate the ability to examine for the presence of neurological deficits in lower limbs relevant to back problems. Aim: To perform an examination of the hip joint.Objectives: Describe the surface anatomy of the hip joint. Describe the function and movements of the hip joint. Describe and demonstrate the examination of the hip joint. Describe normal and pathological gait patterns. Summarise the findings of a hip joint examination.

Examination of the lower limb: knee and foot

Aim: To introduce students to the examination of the knee and foot.Objectives: Demonstrate the ability to examine the normal and arthritic knee and foot (ie. look, feel, move and measure). Demonstrate the ability to differentiate between mechanical and inflammatory causes of joint pain. Describe the distribution of major peripheral nerves. Perform tests of muscle power and range of motion for each joint. Observe gait and describe abnormalities. Aim: To perform an examination of the kneeObjectives: If the history suggests there has been an injury: Describe the surface anatomy and function of the knee joint. Describe the movements of the knee joint Describe and demonstrate examination of the knee joint, including checking for site of maximal tenderness, evidence of trauma and of joint instability Critically observe gait Summarise the findings of a knee joint examination If the history suggests knee arthritis: Describe the surface anatomy and function of the arthritic knee joint. Describe the movements of the arthritic knee joint Describe and demonstrate examination of the arthritic knee joint including checking for joint swelling, heat and erythema, and signs of a joint effusion Critically observe gait Summarise the findings of an arthritic knee joint examination

Upper limb: hand, wrist, elbow & forearm

Aim: To introduce students to the examination of the hand, wrist and forearm.Objectives: Demonstrate the ability to examine the normal hand, wrist and forearm. Describe the distribution of major peripheral nerves. Describe the major muscle groups in the forearm, wrist and hand and perform tests of muscle power and range of motion for each joint. Demonstrate the ability to examine the elbow and wrist joints. Describe the physical signs of arthritis in the hands.

The upper limb: shoulder and cervical and thoracic spine

Aim: To introduce students to the examination of the cervical spine, shoulder and upper back. To introduce students to reporting their examination findings.Objectives: Demonstrate the ability to examine the normal cervical spine, shoulder and upper back. Describe the major muscle groups in the shoulder, cervical spine and upper back. Demonstrate the ability to perform tests of muscle power and range of motion in the shoulder. Demonstrate the ability to report examination findings accurately and concisely for any of the examinations in this block.